Individual
DR. IRENE V GOTTLOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(856) 356-4924
(856) 356-4793
Mailing address
427 S CAMAC ST, PHILADELPHIA, PA 19147-1140
(215) 908-2012
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
25MA10966900
NJ
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
25MA10966900
NJ
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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